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PL-15-538 Miami Shores Village Building Department 10050 N.E. 2nd Avenue Miami Shores, FI 33138 Tel: 305-795-2204 Fax: 305-756-8972 11/24/2015 766 NE 96 Street Miami Shores FL 33138 RE: Process No.PL-3-15-538 Address: 766 NE 96 Street Dear Owner, Our records indicate that the above referenced permit has expired without obtaining the proper permit approval. In order to serve you better, we need to keep our files up to date. As per section 105.3.2 of the Florida Building Code, "An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filling, unless such application has been pursued in good faith or a permit has been issued." Please be advised that open permits will hinder your ability to refinance or sell this property. Please contact the Building Department,within 15 days of receipt of this letter in order to take care of this matter. Sincerely, Ismael Naranjo, CBO Building Department Official 305-795-2204 C'El l -r� Miami Shores Village AR 12 115 Building Department _ M 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Y: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2CC0t BUILDING Master Permit No. R G-7 /`/-'C/ 3 ,-- PERMIT PERMIT APPLICATION Sub Permit No.Vu S — Sc� F]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL F]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP / G/ (' (� CONTRACTOR DRAWINGS JOB ADDRESS: --)166N26 l6 s City: Miami Sores County: Miami Dade Zip: Folio/Parcel#:i f ' 30I c)'6—©t 5/' 6�0�0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: CFF/E: OWNER: Name(Fee Simple Titleholder):�4 c,L) 1 t—bo q�� Phone#: 73 Sr`/-C/3 7 7 Address: )66 )i2E 9.6 � City: /?4/"'-1/ / State: f" Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 4 G P� f✓j 9 e 1 y �/ Phone#: 7 7l 6 00 Address::(? 9 5 ;;7 S W t 7ys City: Al 4 State: C( . Zip: Qualifier Name: �fO �—� Phone#: F State Certification or Registration#: G L 0 5r Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: eninearValue of Work for this Permit:$ 0 Footage of Work: -70() Type of Work: ❑ Addition ❑ Alteration f?2 New a r ❑ Repair/Replace / ❑ Demolition Description of Work: l L Tc/ul Q,4 0 Y 9 c'YI Specify color of color thru tile: r1 � Submittal Fee$ v - Permit Fee$ 3v I�'`� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ it— TOTAL S—TOTAL FEE NOW DUE$ (Revise d02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address _ City State Zip _ Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature � _6"erd SignaturDQ OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ��,}-� 20)_, by _ day of ✓Iq!(v '20 , by ��✓✓ )ItX�AR 1 who is personally known to �(��/ /Y dr,w Cl ,who is personally known to me or who has produced L as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: r?Jv1i Sig Sign:—" Print: Print: I/(%u"r G Seal: Seal: �.• ry MAGGIE GARCIA MY COMMISSION N FF 048923 �"r" MAGGIE GARCIA N EXPIRES:October 20,2017 =.: .: MY COMMISSION M FF 048923 Bonded Ttwu Notary Public rs �'. ;a EXPIRES:October 20,2017 ********* **B�dW*ft t�PUI�ICtlflAW ************* APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) WOW rA.�M ... .Ad DROVER LICENSE A60-200-66-177 - : aY AARIER ►. IMI SW 142ND AVE MAW FL 33 W7016 tom-17-It" SEX M --2041 t4W 54 E04WS W17-261S RESP' #*o vOftCVr,U ALSO �,.,�.rra c�pt rr.rorty saa�t.cM t�byr ........... ...... ..,,�....I.n...,... .�..�„ ...... ...... .�,II...I,,.,•r. „d..,n,_dLn' 11=1u❑'.C-I i11AIt11P.� •.tlrl�,, �. ..... _. .... .i. .�..�. � .1 ,. ul,. IUB„ i't.❑,./ 1 1 , r,11 1•.alwllr��. .. .I 1. X111,..1 1',Illfln1119 11'I it A I;111,,:.t tr/I 1 1111 DETACH HERE RICK SCOTT.GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 7,07 The PLUMBING CONTRACTOR \� Named below IS CERTIFIED Under the provisions of Chapter 489 FS Expiration date AUG 31,2016 ARRIERA.ELOY �• G 8 L PLUMBING SERVICE INC 13957 SW 140 STREET MIAMI FL 33186 Local Business Tax Receipt Miami-Dade County, State of Florida -1H:S.'•NOT A 8111 DO A'OT DAY L B :T] 4EO1903 BUSMESS NAME/LOCATION RECEIPT NO. EXPIRES G h L PLUMBING SERVICE INC RENEWAL SEPTEMBER 30, 2015 1'1335 SW 31 ST 483.1473 M;u;I b„d spl.syed ut p•uw of busincls tt11AMI.FL 33175 pursuant to County Code Chapter HA-AM 9& 10 OWNSR SEC.TYPE OF BUSINESS PAYMENT RECEIVED G d t PI UMB.NG SERVICE INC 196 PLUMBING BY TAX COLLECTOR CONTRACTOR 75.00 091=014 1Yorkegs) 2 CFC056155 CREOITCARO-14-035778 This local Sasiaess Tu hcelpt Mh ceatrms p79tat of the local 6wsioess Tse.The Rcceipl is Pel•license. pers.L w•cerdSc sire of the balder s R11316c W eef,to do bsstse L HOMW wst c41111Oly with 4"8wetamewl or wo;vveramccul rcplaftm laws and regdtsseats wbkb apply to the busarss. lbe RECE177 R0.above nest be dispiaW sun all taarretclal Tebitks-Miasi-Bade Code Seo H-Z7[ For"to iafatsalio%Ti"w"w.laika141dL4"1p3tgwMw C CC 4-1 10-06-'14 10:34 FROM-ROYAL CARIBBEAN INS. 3056421087 T-884 P0002/0002 F-342 .4coRl�® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYV) 10/06/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE GOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed- If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER " LAYDA TUNON ROYAL CARIBBEAN INS.AGENCY ;"II° .305-642-4541 Piu'4x0 Nor,305-642-1087 1772 W FLAGLER STREET AOOREDDRE LL:JTUNONROYALII MAIL.COM MIAMI, FL 33135 INSURE AFFORDING COVERAGE NAICA INSURER A:ATAIN SPECIALTY INSURANCE CO. INSURED INSURER s:CATLEPOINT FLORIDA INS.CO. G 3 L PLUMBING SERVICE.INC. INSURER C: 13957 SW 140TH STREET INSURER o: MIAMI,FL 33186 INSURER E: 1r18URER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II T R YYPE OF INSURANCE PO4C E POU E ITR POUCYNUMBER LIMITS A GENERAL.UABILITY X CIP193501 5/03/2014 03/2015 EACHOCCURRENCE s 2000000.00 AGENTED X COMMERCIAL GENERAL LIABILITY RCMISPS Ra a ..w nna $ 100.000.00 CLAIMS-MAOE IX, OCCUR MED EXPUVIYoneoersoN s 5.000.00 PERSONAL&ADV INJURY S ,000,000.00 GENERALAGGREGATE s 2 000 000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,000.00 POIiCv EO LOC _ AUTOMOBILE UABIUTY COMBINED SIN13LE LIMIT ANY AUTO GIDDILY INJURY(Per person) f ALL OS OWNED AUT08EDULED e001LY INJURY(Pw aoo;dent) S NON.OWNEO PROPERTY _ HIREDAUTOS AUTOS f UMBRELLA LIAROCCUR EACHOCCURRENCE f EXCESS LIAR HCLANS-MADE AGGREGATE f DED I I RETENTIONS f B WORKERS COMPENSATION AND EMPLOYERS'LUMUTY WCP769100402 5/10/2014 5/10/2015OTH- ANY PROPRIETORIPARTNERIEXiEoUTIV£ YIN EL.EACH ACCIDENT a 1,000,000.00 OFFICERNEMBER EXCLtJDEt7r a N/A (Mandatory In NN) E.L DISEASE.EA EMPLDYEE f 1.000 000.00 if vas,DESC �TI N RIPOF OPERATIONS below E.L.DISEASE-POLICY LIMIT f 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Mach ACORD 101,Additional Remarks Sehsdule,If rnoh space Is Iequivad) PLUMBING CONTRACTOR.LICENSE N CFC056755 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE CRIBED POLICIES BE CANCEL,LQO BEFORE THE ON DATE EOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE CE H L PROVISIONS. 10050 N.E.2ND AVENUE MIAMI SHORES,FLORIDA 33138 ORIZED ENTAT s Q�18 8-2010 CO CORPORATION. All rights reserved. ACORD 26120101061 The ACORD name and loco arc registered marks o • `` STATE OF FLORIDA PERMIT #: 13-SC-1546147 DEPARTMENT OF HEALTH APPLICATION #: AP1151551 ,• ONSITE SEWAGE TREATMENT AND DISPDATE PAID: SYSTEM PY FEE PAID: CONSTRUCTION PERMIT Florida Health Miami-Dade CoUntyRECEIPT #: Y WE O.S. & Well P ogram DOCUMENT #: PR946052 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Lisa Guinovart PROPERTY ADDRESS: 766 NE 96 St Miami, FL 33138 LOT: 3.4 BLOCK: 68 SUBDIVISION: Miami Shores Sec 3 PROPERTY ID #: 11-3206-014-2070 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S. , AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTE I AND SPECIFICATIONS T [ 1,050 ] LONS / GPD new septic tank CAPACITY [ GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 500 SQUARE FEET trench confiquration drainf SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ J I CONFIGURATION: [x] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: FFE 11.20'NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 40.80 ] [ INCHES FT J [ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 67.80 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 69.60 ] INCHES O 1.-Install a 1050 gal min.septic tank with an approved filter. 2.-The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance T with s.64E-6.013(3)(0, FAC. H 3.-Install 500 sf of drainfield in trench configuration. 4.-Install 42"of slightly limited soil at the bottom of the drainfield. E 5.-Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench. R (Comments Continued on Page 2.) SPECIFICATIONS BY: Yudeisy Martin TITLE: Engineering Specialist II APPROVED BY: TITLE: Engineer Supervisor III Dade CHD Astrid war s DATE ISSUED: 07/24/2014 EXPIRATION DATE: 01/24/2016 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 r 1.1.4 A111 151551 SL9:14.4S4 R DOCUMENT #: PR946052 ----------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------ 6.-Invert elevation of drainfield to be no less than 6.0'NGVD. 7.-Bottom of drainfield elevation to be no less than 5.5' NGVD. The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow of 400 gpd. NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN#A02, Tallahassee, Florida 32399-1703. The Agency Clerk's facsimile number is 850-410-1448. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order.